Kitajiri S, Tabuchi K, Hiraumi H
Department of Otolaryngology, Toyooka Hospital, 6-35 Tachino-cho, Hyogo 668-8501, Toyooka City, Japan.
Auris Nasus Larynx. 2001 Nov;28(4):365-7. doi: 10.1016/s0385-8146(01)00096-7.
Transnasal sphenoid sinus foreign body is a rare condition. We report a very rare case of transnasal bamboo foreign body lodged in the sphenoid sinus without damages to the orbital wall or skull base. A 69-year-old man fell down onto a bamboo stick, which snapped after penetrating his face through the right nostril. CT demonstrated that the bamboo stick stuck into the middle meatus, penetrated the ethmoid sinus just medial to the lamina papyracea and reached to the sphenoid sinus. No abnormal findings were detected in the orbit or skull base. The foreign body was removed from the nasal cavity without any complication. The endoscope was useful for evaluating possible injuries in the orbit and skull base and confirming the absence of residual foreign bodies.
经鼻蝶窦异物是一种罕见的病症。我们报告一例极为罕见的经鼻竹制异物嵌顿于蝶窦,且未损伤眶壁或颅底的病例。一名69岁男性摔倒在一根竹棍上,竹棍从其右鼻孔穿透面部后折断。CT显示竹棍卡在中鼻道,穿过纸样板内侧的筛窦并进入蝶窦。眼眶或颅底未发现异常。异物从鼻腔取出,未出现任何并发症。内窥镜有助于评估眼眶和颅底可能存在的损伤,并确认无残留异物。